AI Article Synopsis
- - The study aims to compare the effectiveness of robot-assisted, laparoscopic-assisted, and open surgeries for treating cholangiocarcinoma using a network Meta-analysis approach.
- - A systematic search of PubMed and Web of Science was conducted for literature on the outcomes of these three surgical methods, with research updated until September 1st, 2024.
- - Results suggest that robot-assisted surgery has better outcomes in terms of certain metrics like R0 resection and complication rates compared to the other methods, while all three have similar operation times; further evidence is necessary to strengthen these conclusions.
Article Abstract
Purpose: The aim of this study is to compare the efficacy of robot-assisted, laparoscopic-assisted and open surgery in the treatment of cholangiocarcinoma, and to evaluate the clinical effect of three surgical methods in the treatment of cholangiocarcinoma by network Meta-analysis.
Methods: A systematical retrieval in PubMed and Web of Science was performed for relative literature on the effects of robot-assisted(RA), laparoscopy-assisted(LA), and open surgery(OA) for cholangiocarcinoma in treating cholangiocarcinoma. A literature search updated to September 1st, 2024, was performed.
Results: Studies have shown that the length of R0 resection, complication rate, 30-day mortality, Transfusion rate, Lymph Node Metastasis Rate, and hospital stay in RA are superior to LA and open surgery. The relative effectiveness of the three surgical methods in terms of operation time were: open surgery, laparoscope-assisted surgery, and robot-assisted surgery, and there was no significant difference among the three groups.
Conclusion: Robot-assisted surgery is safe and feasible in the treatment of cholangiocarcinoma, but more clinical evidence is needed to confirm these findings.
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| http://dx.doi.org/10.1007/s00423-024-03541-3 | DOI Listing |
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